NPI | 1790818722 |
---|---|
Former Name | VICTORIA TSIMBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 054324) |
Additional Taxonomies | 122300000X Dentist (Licence: NY 054324) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2024-01-26 |